Hello The blood stained discharge is an easy one to answer, you're having an occasional period! It's not unusual for the ovaries to undergo the odd 'menstrual cycle' after the menopause resulting in a little bleed, this would also explain the pelvic cramps and often breast tenderness can occur ( pre...

Hello Think it's a bit early to blame it on the lead up to the menopause! Ovarian function can change as you get older which would alter your cycle length (hormone tests aren't particularly helpful as there's a huge 'normal' range and you're bound to fall within this range even though they're probab...

Hello I too am very sorry to hear about your 2 early miscarriages but as mentioned already you still have a very good chance of a successful pregnancy this time. Unfortunately miscarriage is very common, everyone knows about the lady down the road who's had a healthy baby but, understandably miscarr...

Hello It's difficult to make a diagnosis without seeing these black spots, if it hasn't changed in a number of years then it's obviously nothing sinister but that probably doesn't help! It could be something as simple as a freckle/mole, possibly a blackhead or a prominent blood vessel/vein. I'd sugg...

Hello I'd agree with the advice given so far perhaps with the addition of bisphosphonates if you're particularly concerned about the risk of osteoporosis as they do offer additional bone protection. The evidence for vitamin D supplementation is less robust (although we're all probably a bit deficien...

Hello I really wouldn't worry at this stage. It's not uncommon for women to experience a hiccup in their menstrual cycles. It's a complex hormonal process involving feedback from the ovaries to the brain and simple things such as stress, etc can upset this process. It's very likely that your 'normal...

Hello I think you're probably right in that the 'chronic inflammation' may represent Lichen Sclerosus, there just may have been an issue with the biopsy site/interpretation. Management to some extend is the same so rather than repeating the biopsy at this stage I'd suggest getting on top of the symp...